Chauncy F. Nelson, D.D.S., M.S., P.A.

Form 5500

CHAUNCY F. NELSON, D.D.S., M.S., P.A.

10940 Raven Ridge Rd STE 204, Raleigh, Nc 27614 (919) 845-2900 EIN:56-2101055 Plan Admin:Chauncy Nelson

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameCHAUNCY F. NELSON, D.D.S., M.S., P.A. 401(K) SAFE HARBOR P/S PLAN Plan #001 Participants BOY/EOY31 / 36 Assets BOY/EOY$2,037,423 / $1,886,089	2022	CHAUNCY F. NELSON, D.D.S., M.S., P.A. 401(K) SAFE HARBOR P/S PLAN - Plan #001	31 / 36	$2,037,423 / $1,886,089
2021	Plan NameCHAUNCY F. NELSON, D.D.S., M.S., P.A. 401(K) SAFE HARBOR P/S PLAN Plan #001 Participants BOY/EOY28 / 31 Assets BOY/EOY$1,734,733 / $2,037,423	2021	CHAUNCY F. NELSON, D.D.S., M.S., P.A. 401(K) SAFE HARBOR P/S PLAN - Plan #001	28 / 31	$1,734,733 / $2,037,423
2020	Plan NameCHAUNCY F. NELSON, D.D.S., M.S., P.A. 401(K) SAFE HARBOR P/S PLAN Plan #001 Participants BOY/EOY28 / 31 Assets BOY/EOY$1,533,389 / $1,734,733	2020	CHAUNCY F. NELSON, D.D.S., M.S., P.A. 401(K) SAFE HARBOR P/S PLAN - Plan #001	28 / 31	$1,533,389 / $1,734,733